Individual provider Active NPI

Chelsea Shell, CNM

  • Advanced Practice Midwife
  • Bristol, TN
National Provider Identifier
1144904111
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
34310 Issued in TN
Practice address
320 Bristol West Blvd BLDG 1
Bristol, TN 37620-8772
Phone
(423) 844-1399
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 34310 TN Primary

Addresses

Primary practice location

320 Bristol West Blvd BLDG 1
Bristol, TN 37620-8772

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230810000343 TN Practitioner - Certified Nurse Midwife (CNM) 2567824436 Reassigns benefits to 1 organization
I20240324000111 VA Practitioner - Certified Nurse Midwife (CNM) 2567824436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
34310TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC CurrentSince Jul 31, 2023 Accepting new patients
Southwest Virginia Physicians for Women PastSince Jul 31, 2023 Accepting new patients

Locations

320 Bristol West Blvd
Ste 2C
Bristol, TN 37620
Phone (423) 844-1399

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

631 Campus Dr
Abingdon, VA 24210
Phone (276) 676-3870

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1144904111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRISTOL WEST BLVD BLDG 1",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208772",
            "telephone_number": "423-844-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "CHELSEA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "34310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.